Claim.MD ERA API

openapi: 3.2.0
info:
  title: Claim.MD Claim Status ERA API
  description: REST API for the Claim.MD medical-claims clearinghouse. The API supports electronic claim submission (837P/837I and other formats), claim status and response retrieval, electronic remittance advice (835 ERA), real-time eligibility (270/271), the payer directory, provider enrollment, appeals, and webhook notifications. All requests are authenticated with an AccountKey and responses can be returned as XML (default) or JSON via the Accept header.
  termsOfService: https://www.claim.md/terms
  contact:
    name: Claim.MD Support
    url: https://www.claim.md/contact
  version: '1.0'
servers:
- url: https://svc.claim.md
  description: Claim.MD production API service
security:
- AccountKey: []
tags:
- name: ERA
  description: Electronic remittance advice (835) listing and retrieval.
paths:
  /services/eralist/:
    post:
      operationId: listEra
      tags:
      - ERA
      summary: List electronic remittance advice
      description: List ERA (835) with payment details, filtered by check, payer, provider, or date, with incremental retrieval via ERAID.
      requestBody:
        required: true
        content:
          application/x-www-form-urlencoded:
            schema:
              type: object
              required:
              - AccountKey
              properties:
                AccountKey:
                  type: string
                CheckDate:
                  type: string
                  description: Check date (mm-dd-yyyy).
                ReceivedDate:
                  type: string
                ReceivedAfterDate:
                  type: string
                CheckNumber:
                  type: string
                CheckAmount:
                  type: string
                PayerID:
                  type: string
                NPI:
                  type: string
                TaxID:
                  type: string
                NewOnly:
                  type: integer
                  description: Return only new ERA (1) or all (0). Defaults to 1.
                ERAID:
                  type: integer
                  description: Last seen ERAID for incremental updates.
                Page:
                  type: integer
      responses:
        '200':
          description: A list of ERA.
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/EraListResponse'
  /services/era835/:
    post:
      operationId: getEra835
      tags:
      - ERA
      summary: Retrieve raw 835 ERA
      description: Retrieve the raw X12 835 transaction for a single ERA.
      requestBody:
        required: true
        content:
          application/x-www-form-urlencoded:
            schema:
              type: object
              required:
              - AccountKey
              - eraid
              properties:
                AccountKey:
                  type: string
                eraid:
                  type: integer
      responses:
        '200':
          description: Raw 835 X12 data.
  /services/eradata/:
    post:
      operationId: getEraData
      tags:
      - ERA
      summary: Retrieve structured ERA detail
      description: Retrieve claim-level remittance detail with adjustment and reason codes as structured XML or JSON.
      requestBody:
        required: true
        content:
          application/x-www-form-urlencoded:
            schema:
              type: object
              required:
              - AccountKey
              - eraid
              properties:
                AccountKey:
                  type: string
                eraid:
                  type: integer
      responses:
        '200':
          description: Structured ERA detail.
  /services/erapdf/:
    post:
      operationId: getEraPdf
      tags:
      - ERA
      summary: Retrieve ERA as PDF
      description: Retrieve a printable remittance report as a Base64-encoded PDF.
      requestBody:
        required: true
        content:
          application/x-www-form-urlencoded:
            schema:
              type: object
              required:
              - AccountKey
              - eraid
              properties:
                AccountKey:
                  type: string
                eraid:
                  type: integer
                pcn:
                  type: string
                  description: Optional specific patient/account.
      responses:
        '200':
          description: Base64-encoded PDF remittance report.
components:
  schemas:
    EraListResponse:
      type: object
      properties:
        era:
          type: array
          items:
            type: object
            properties:
              eraid:
                type: integer
              payerid:
                type: string
              check_number:
                type: string
              check_amount:
                type: string
              check_date:
                type: string
              npi:
                type: string
  securitySchemes:
    AccountKey:
      type: apiKey
      in: query
      name: AccountKey
      description: Account authentication key from Settings > Account Settings in the Claim.MD portal. Submitted with each request (as a form field or query parameter).